头颈部肿瘤皮瓣修复术后上消化道出血死亡病例2例分析

doi:10.19438/j.cjoms.2020.01.019

中国口腔颌面外科杂志 ›› 2020, Vol. 18 ›› Issue (1): 91-93.doi: 10.19438/j.cjoms.2020.01.019

头颈部肿瘤皮瓣修复术后上消化道出血死亡病例2例分析

王绍杰^1*, 张瑞^2*, 杨涛¹, 王维戚¹, 魏建华¹

1.空军军医大学口腔医院头颈肿瘤外科;
2.正畸科,陕西西安 710032

收稿日期:2019-02-19 出版日期:2020-01-20 发布日期:2020-03-09
通讯作者: 魏建华,E-mail:weiyoyo@hotmail.com
作者简介:王绍杰(1990-),男,硕士,住院医师,E-mail:657712715@qq.com;张瑞(1989-),女,硕士,住院医师,E-mail:657712715@qq.com。^*并列第一作者

Analysis of 2 dead cases due to upper gastrointestinal bleeding after flap reconstruction of defects resulting from resection of head and neck tumor

WANG Shao-jie¹, ZHANG Rui², YANG Tao¹, WANG Wei-qi¹, WEI Jian-hua¹

1.Department of Head and Neck Oncology;
2.Department of Orthodontics, School and Hospital of Stomatology, Air Force Military Medical University. Xi'an 710032, Shaanxi Province, China

Received:2019-02-19 Online:2020-01-20 Published:2020-03-09

摘要/Abstract

摘要： 上消化道出血为临床上较为常见的急症,急性发作的发病率约为每年(60~150)/10万,死亡率约为 5%~10%。随着游离皮瓣移植手术在不同单位开展得越来越多,提高口腔颌面外科医师对头颈部肿瘤皮瓣重建术后上消化道出血并发症的了解和重视越来越显必要。本文旨在通过对我科2例头颈部肿瘤皮瓣重建术后出现急性上消化道出血致死病例的分析和总结,提高口腔颌面外科医师对该并发症的重视,更好地保护患者的切身利益,提高医疗质量。

关键词: 头颈部肿瘤, 上消化道出血, 游离皮瓣

Abstract: Upper gastrointestinal hemorrhage is a common clinical emergency, with the incidence of acute episodes ranging from (60-150)/100 000 people per year and the mortality ranging from 5%-10%. As more and more free flap transplantations are carried out in different units, it is mandatory to strength the understanding of upper digestive tract bleeding complications after transplantation to reconstruct surgical defects among oral and maxillofacial surgeons. This paper reported 2 dead cases due to acute upper gastrointestinal bleeding, discussed the causes and measures for prevention and treatment, with the aim to care the patient's vital interests, and improve the quality of medical management.

Key words: Head and neck tumors, Upper gastrointestinal bleeding, Free flap

中图分类号:

R739.8

王绍杰, 张瑞, 杨涛, 王维戚, 魏建华. 头颈部肿瘤皮瓣修复术后上消化道出血死亡病例2例分析[J]. 中国口腔颌面外科杂志, 2020, 18(1): 91-93.

WANG Shao-jie, ZHANG Rui, YANG Tao, WANG Wei-qi, WEI Jian-hua. Analysis of 2 dead cases due to upper gastrointestinal bleeding after flap reconstruction of defects resulting from resection of head and neck tumor[J]. China J Oral Maxillofac Surg, 2020, 18(1): 91-93.

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头颈部肿瘤皮瓣修复术后上消化道出血死亡病例2例分析

Analysis of 2 dead cases due to upper gastrointestinal bleeding after flap reconstruction of defects resulting from resection of head and neck tumor

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